| NPI | 1720130404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY HICKS Owner 602-547-9682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: AZ BH2617) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-06-23 |